I rearranged these – from pg 78 – in an order that seemed more relevant - let me know
Current Medications / O2
--- Are you on oxygen at home? How much?
--- What medications are you on?
--- What is it for?
--- Dosage
--- Number of times per day
--- Are you taking it as prescribed?
--- Do you notice any differences after you take your medication?
--- What supplements or OTC are you taking?
Serious chronic illnesses or allergies
--- Do you have any past history of lung disease?
--- Do you have any past history of cardiac disease?
--- Hypertension
--- Diabetes, sickle cell anemia (skip?), cancer, seizure disorder (skip?)
--- Any allergies?
--- Any drug allergies? What happens when you take that drug?
Hospitalizations / Doc visits
--- Have you ever been hospitalized?
--- Have you had any surgeries?
--- When was your last examination?
Accidents or injuries (WE might SKIP THIS?)
--- Any accidents or injuries?
Childhood illnesses (I THINK WE SKIP THESE???)
--- Bronchitis, Measles, mumps, rubella, chicken pox, pertussis, strep throat
--- Rheumatic fever, scarlet fever, poliomyelitis?
Immunizations (I THINK WE SKIP THESE??? – we have TB, flu and pneumonia vaccinations above)
--- MMR, polio, DPT, Hep B, HPV
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8 comments:
regarding medications- do you take your medication as it is prescribed? katie
in regards to Hx of respiratory/cardiac disease... might it be a good idea to ensure that our patients understand what we mean by that (i was watching a soccer movie the other day where the guy didn't understand what the nurse meant by respiratory disorders and thus failed to mention his asthma). i mention this in particular because furosemide is used to CHF which is characterized by SOB... not to jump the gun and try to diagnose.. katie
- Added "meds as prescribed"
- Katie - good call on clarifying client understanding of respiratory/cardiac - you get to ask Sandra those questions! LOL
as far as childhoos illnesses....do you have a Hx of bronchitis? could maybe sugguest something about his lung tissue in general (from birth) etc. more succesptible to certain adult diseases or conditions or even more succeptible to certain environmental conditions that wouldnt have had a huge impact on another person.
- Jessica - nice - I added bronchitis first on the childhood list. Thanks.
another regarding the meds...going with what debbie said in the first post how long have you been on them and during that duration have you experienced any of the noted adverse side effects? no leading questions though i know :) maybe just ask him if he has been feeling the same or "funny" after taking the meds
- Added comment about "do you notice difference after you take your meds"
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